High alkaline phosphatase and breast rash that comes and goes
Hi everyone
I hope you don't mind my concerns and I wonder if you could give some opinions please-
I had a baby January 2020.
I had blood tests Oct/Nov 2020 which were normal apart from a low thyroid and high alkaline phosphatase (level 114)
January 2021 I take off my spots bra and notice a raised red mark which the next day went flat and looked like red ring with a slightly light pink on the inside on my lower left breast. The Dr gave me some cream and it went within 3 days.
2.5 weeks later it returned for 1 day and went over nightwith no cream.
The Dr isn't concerned but I thought I'd get some opinions. Thank you ever so much x
Comments
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please can someone reply
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Hi Michelle,
I am so sorry that you have concerns. You may be unfamiliar with how this forum works. All posts, questions/answers, etc., are made by members . There are no resident experts who quickly answer questions. Members sign in/out at their leisure and there is no requirement for us to respond to posts. Also, we don’t give opinions, second or otherwise, on medical conditions as we are not doctors nor have we examined you. As bco members the vast majority of us are simply those who have been diagnosed with breast cancer. This a great place to share personal experiences, get emotional support, etc., That aside, if you still have concerns, from your description, it sounds like a dermatologist might be your best bet to find out what your skin condition is. Your breasts are covered with skin and it’s more likely that you’re experiencing a skin condition rather than a cancer condition. Take care
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Thank you for getting back to me.
Sorry, I’m a bit anxious to say the least.
I wondered if anyone had had anything similar.
Best wishes x
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I personally wouldn’t be any more concerned about a rash that goes away after a day or two on my breast than I was about one on my knee or arm
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thank you.
I think I’m concerned as I’m 33 and never had a single rash on my body. And for it to appear where it did, go away and come back in the same place, I have been a bit worried -
Skin is skin. Skin gets rashes, no matter what body part it is on. As a matter of fact, breasts are prime territory for rashes, especially fungal ones just like athletes foot because they stay warm and damp. Cancer doesn’t come and go. It certainly doesn’t go away in a day or two days
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If it’s any comfort, this very much sounds like a skin condition. The fact that the rash comes and goes makes it even more unlikely that it’s cancer related. Call a dermatologist, stop worrying.
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114 appears to be a normal alkaline phosphatase level too.
What is an alkaline phosphatase level test?
An alkaline phosphatase level test (ALP test) measures the amount of alkaline phosphatase enzyme in your bloodstream. The test requires a simple blood draw and is often a routine part of other blood tests.
Abnormal levels of ALP in your blood most often indicate a problem with your liver, gallbladder, or bones. However, they may also indicate malnutrition, kidney cancer tumors, intestinal issues, a pancreas problem, or a serious infection.
The normal range of ALP varies from person to person and depends on your age, blood type, gender, and whether you're pregnant.
The normal range for serum ALP level is 20 to 140 IU/LTrusted Source, but this can vary from laboratory to laboratory.
The normal range runs higher in children and decreases with age.
The best way to know what is normal or not is to discuss the results with your doctor, who will be able to interpret the lab's specific result and reference ranges.
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Thanks everyone.
I have also had throbbing pain in the left breast today, which I now fear is related to all this.
In 2018 my alkaline phosphatase was 82, then in 2020 it went to 132, then down to 114.
Sorry for all of my worries x -
Michelle, all of those test results appear to be in range. Why are you worried about them? Lots of lab test results go up and down. That is why there are normal ranges to reference. Since your doctor is unconcerned, I would be too
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The top left is how it started, then it went to the right and then bottom left pic.
the same happened two weeks late, except it went within a day.Thank you
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Michelle,
Posting photos of the breast is not allowed on bco. You can remove them or the moderators will at some point. Sorry, I know that this site is new to you and you are worried, but none of us are qualified to guess or speculate on what might be happening even with a photo. Please contact or get a referral to a dermatologist first thing tomorrow morning!
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oh gosh, I am so so sorry!
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No worries! You are a new member so it takes a bit of time to learn how to navigate. I think the photo ban stems from two things, in my opinion. The mods don’t want us offering diagnoses and, sadly, there are people who might view these photos for, shall we say, non-medical purposes.
Michelle, I know you have a concern and I know it’s easy for people to say “don’t worry”, but it seems unlikely that your skin issues have anything to do with bc
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Thank you very much. I hope you are right :-)
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MichelleD123, I had a breast rash I didn't notice (under side of my non-surgical breast). My oncologist noticed it at a checkup and said "You've got a nasty rash, get some anti-fungal cream." That was from a breast cancer expert who sees breasts all day, five days a week.
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Thanks for getting back to me.
Did it clear up ok?
I also have been having nerve pain down my left arm on that side so I just worry that this is all linked.
Best wishes
Michelle x
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Hi MichelleD123, Since there is usually a wait to get in to see a dermatologist email your PCP and make her aware of the nerve pain.
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Is arm nerve pain a usual symptom?
Thank you x
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No, Michelle, arm nerve pain is generally not considered a breast cancer symptom. I know this is difficult for you but you have been given every indication that there is no reason for concern. Please spare yourself extra stress and until you know differently, assume you have a dermatology issue as it is unlikely that you have a cancer issue, Don’t borrow trouble!
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MichelleD123, yes, the antifungal cream cleared up the rash, just like it has other rashes I've had in other body areas. Skin issues, every one of them. I've had actual skin cancer several times and you know what I think when I first see a rash? Time for antifungal cream! I've had actual breast cancer, and you know what I think if my arm hurts? Pinched nerve! Lousy sleep position!
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I agree with AliceBastable it could be anything. Do you carry the baby on that side? and all the other stuff on the other arm? or vice versa? We do things all day long using both arms without thinking about it. Especially when you are a young mother. By the time you get into bed and try to relax that's when everything hurts! Try to relax and enjoy this time with your precious little one.
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Sorry to message again.
It did look like a bug bite to start with but then went into a flat round pink circle over night (slightly raised for a day).
If this went away, then came back two weeks later. Is this likely to be IBC?So so sorry to message again and thank you.
Best wishes x
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Michelle,
IBC is extremely rare and rather than coming and going it tends to advance rapidly. I’d place on good sized wager on you not having IBC. Have you contacted a dermatologist today?
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Thank you.
I had an ultrasound and they could not see anything.
I have a dermatologist appointment in two weeks.
I just worry as it came back again and fear it might do again.
I sent it to a friend and she said it looks like a bite to start with, which then sent me over the edge as if you google that, it’s the start of IBC
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Michelle,
Dr. Google is a terrible diagnostician. Please do not attempt self diagnosis based on Internet searches. IBC does not come and go. Please digest that fact and understand that it is unlikely you have this rare presentation of breast cancer. I am sorry that you have to wait two weeks for the dermatologist appointment but stay away from Google. Also, unless your friend is a clinician who specializes in breast cancer, I would give that opinion no credence whatsoever. Please dear, stop looking for breast cancer. Everything you have written sounds like some kind of skin condition and although none of here (nor you, nor your friend) can make any type of diagnosis, try not to talk yourself into something that is not likely. Have you considered speaking to someone about health anxiety? Take care.
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